large and small births Flashcards
1
Q
What is Large For Dates?
A
Symphyseal-fundal height >2cm for Gestational age
distance of pubic bone to top of womb
2
Q
Fetal Macrosomia diagnosis
A
USS EFW >90th centile, - foetal growth scan
AC>97TH Centile- fetal abdominal circumference
3
Q
how accurate is USS EFW
A
10% margin error
4
Q
Polyhydramnios: Diagnosis
A
USS
DPV>8cm
deepest vertical amniotic fluid pocket
AFI>25
amniotic fluid index
5
Q
Polyhydramnios: Investigations
A
oral glucose tolerance test
viral serology- parovirus
antibody screen
USS
6
Q
Polyhydramnios: Management
A
Patient information- complications including preterm rupture of membranes
Serial USS- growth, LV, presentation
IOL by 40 weeks
7
Q
A